Carbuncle ndi kutupa kwachisokonezo chakupha kwa epidermis kapena minofu yapansi. Matendawa amakhudza mitsempha ya tsitsi ndi zowonongeka, ndipo mankhwalawa ndi matenda a staphylococcus . Anthu omwe sali okhudzana ndi mankhwala, akhoza kusokoneza vuto ili ndi abscess kapena wiritsani.
Carbuncle - amachititsa
Kutupa kumayamba ndi abscess, yomwe ili malire ndi kubwezeretsa khungu kwa khungu. Kufalikira kwa matenda ndi kuledzera kwa thupi ndizoopsa kwambiri za matendawa, monga carbuncle, zifukwa zomwe zimawonekera zimakhala zosiyana. Zili choncho:
- kusokonezeka kwa ziwalo zamkati (chiwindi kapena impso) ndi mawonekedwe a chitetezo cha mthupi;
- limodzi;
- ndi mowa mwauchidakwa, kusuta, zakudya zonunkhira;
- ndi kulemera kwakukulu;
- chikhalidwe chosokonezeka kwa nthawi yaitali;
- ali ndi matenda a tsamba la biliary ndi matumbo a m'mimba.
Carbuncle ikhoza kuchititsa:
- streptococcus ;
- E. coli;
- Matenda a Proteus;
- enterococci ndi zina zotero.
Chifuwa china cha purulent chikuwoneka pambuyo pake:
- kupuma kwa acne ;
- kuluma kwa tizilombo;
- kusagwirizana ndi ukhondo;
- kuipitsa khungu, ndi zina zotero.
Carbuncle - Zizindikiro
Matendawa amayamba ndi mawonekedwe a mkati mwake, omwe amaphatikizana pang'onopang'ono ndikupanga mawonekedwe a mdima. Kukula kwake kungapitirire chikhato cha mwana. Carbuncle imakhala yofiira, imatenthedwa, ndipo khungu limayendayenda. Zomwe zimachitika zimakhudza zigawo zakuya zamatenda ndi zomwe zimayambitsa:
- buluu wa epidermis;
- zowawa;
- kuwomba kwakukulu;
- maphunziro osadziletsa.
Ngati munthu ali ndi anthrax carbuncle, zilonda zimakhudza malo onse a khungu omwe saphimba zovala. Chizindikiro chake ndicho zizindikiro zotsatirazi:
- malo ang'onoang'ono amakula mofulumira ndikusandulika chovala chamdima chamdima, kutuluka pambuyo pa kupangidwa kwa chilonda;
- pakatikati pa chilondacho chinapanga wakuda necrosis, komwe ukuphatikizapo kutupa ndi kutupa;
- Kutupa kwa maselo amphongo popanda kupatsirana ndi kupweteka;
- Chigawo cha necrosis chikuphatikiza ndi kuyaka.
Kodi carbuncle amawoneka bwanji?
Anthu ambiri ali ndi chidwi ndi mafunso okhudza carbuncle omwe, chithunzi, momwe malo akuyaka akuyang'ana komanso chochita nazo. Pafupifupi sabata imodzi chiyambireni matendawa, cholinga chimakula kwambiri ndipo chimakhala chowawa kwambiri. Pa tsiku lachisanu ndi chiwiri, ma pustules oyera amawoneka ngati nkhumba. Atatha kutsegula, misala yamtundu wokhala ndi mitundu yosiyanasiyana ya mazira ndi kusakaniza magazi imatulutsidwa. Zilonda zina zotseguka pambali ndi pansi pamvi zimapangidwa.
Pamwamba pa necrosis amafanana ndi mawonekedwe ake a sieve, ndiyeno amatha kuda. Zamoyo zakufa za epidermis zimalowerera mkati mwa maselo amkati mwa thupi ndikufikira minofu yake. Pakapita nthawi, khungu la khungu lidzadzazidwa ndi minofu ya granulation, ndipo tsamba lofiira limapezeka pamalo a chilonda, chomwe chimatulutsa "zigawo" zozungulira pakati pawo.
Carbuncle - mankhwala kunyumba
Kuchiza kwa carbuncle pa kulowa mkati kungatheke pakhomo pakhomo, koma atapita kukaonana ndi dokotala komanso malangizo ake. Ngati matendawa amatha popanda kuwonongeka, ndiye kuti wodwalayo akuwongolera njira yothandizira mankhwala:
- maantibayotiki;
- mankhwala ophera antibacterial ( Biseptol , Furagin);
- mankhwala omwe ali ndi analgesic (Analgin, No-shpa) ndi zotsatira zotsutsa-kutupa (Ibuprofen, Paracetomol).
Ngati vuto la kutupa ngati carbuncle, chithandizochi chimapereka:
- Mankhwala omwe amachititsa kuti maselo a magazi asapangidwe kukhala magazi (Pentoxifylline, Trental);
- UV;
- Kukonzekera kuthetsa poizoni wa staphylococci (Zorex, Polysorb);
- vitamini zovuta.
Pothandizidwa ndi carbuncle, pamwamba pa khungu lotentha limachitidwa ndi:
- mankhwala ophera tizilombo toyambitsa matenda (ethyl mowa);
- amachizidwa ndi maantibayotiki;
- gwiritsani ntchito njira yapadera yapadera (kirimu ndi mafuta onunkhira).
Kuchiza kwa carbuncle ndi mankhwala opha tizilombo
Kuyankha funso lokhudza ma antibayotiki pa mankhwala a carbuncle ayenera kugwiritsidwa ntchito, ziyenera kunenedwa kuti muyenera kusankha zosakaniza pamodzi. Zizindikiro zazikulu zowonongeka kwawo zimachepetsedwa chitetezo, pamene mlingo ukulimbikitsidwa kwakukulu. Mankhwala odziwika kwambiri ndi awa:
- Diclosacillin - aledzera kwa masiku 10 pa mapiritsi 4 pa tsiku;
- Cefalexin - yemweyo;
- Amoxicillin - mankhwalawa ayenera kutengedwa pambuyo pa maola 8 pa sabata;
- Azithromycin - imwani piritsi imodzi pa tsiku kwa masiku 7;
- Vancomycin - mankhwalawa amalembedwa mu milandu yoopsa ndi jekeseni mkati.
Carbuncle - mankhwala, mafuta
Pa mankhwala ndikofunika kudziŵa kuti mafuta abwino otani kuchokera ku carbuncle amathandiza kuchepetsa matendawa. Amagwiritsidwa ntchito kumadera okhudzidwa a khungu mpaka atachiritsidwa kwathunthu. Mankhwalawa ayenera kulimbikitsa kukanidwa kwa maselo akufa komanso osatha. Njira zabwino ndizo:
- Malawi;
- Baneocin;
- Vinylin;
- Levomekol;
- Mafuta a Vishnevsky;
- Methyluracil, ndi zina zotero.
Carbuncle - mankhwala ochiritsira
Kudzipiritsa pakhomo kungatheke ngati matendawa ali ovuta, ndipo dera lomwe lakhudzidwa silimapweteka kwambiri. Carbuncle pamaso angayambitse zovuta zambiri, kuti kuchepetsa edema ndi kuthetsa kutupa, mugwiritse ntchito mankhwala osiyanasiyana:
- Masamba a mallow, sweet clover ndi chamomile maluwa atsanulira madzi otentha ndipo musiyeni iwo brew kwa mphindi 15-20. Pambuyo pake, therere lochizira likulumikizidwa mu gauze ndikugwirizanitsa ndi carbuncle kwa theka la ora.
- Garlic compress idzakuthandizani kuletsa carbuncle yomwe ikukula - chithandizochi chidzafulumira. Dulani adyo kudzera mu makina osindikizira, ndipo kuchokera ku gruel pangani compress, yomwe iyenera kusungidwa kwa ola limodzi.
- Masamba atsopano a plantain kapena aloe (kusankha) ayenera kupunduka ndi kukulunga mu gauze. Kupondereza compress pamalo okhudzidwa kwa maola angapo.
- Mu lita imodzi ya madzi ofunda yikani supuni ya mchere. Lembani bandeji mu njirayi ndikuigwiritsire ntchito kumadera omwe akukhudzidwa.
Kutulutsidwa kwa carbuncle
Ngati njira yotupa yatha kupita ku siteji ya necrosis, ndiye kufunikira kukaonana ndi dokotala. Chithandizo cha opaleshoni cha carbuncle chimaphatikizapo opaleshoni yaing'ono, yomwe imapangidwa ndi anesthesia.
- Malo okhudzidwawo amatsegulidwa mopanda pang'onopang'ono, poganizira zonse zigawo za matenda omwe amaikidwa ndi mafinya ndi mabala ndi maselo akufa. Pankhaniyi, kumwa mowa mwauchidakwa kumachotsedwa, kuchepa kwa thupi kumabwezeretsedwa, ndipo chilonda chimachiza mofulumira.
- Ndondomekoyi imatsirizidwa ndi kuyambitsidwa kwa makina osungira madzi, omwe ali ndi mapuloteni a proteolytic ndi mankhwala a hypertonic. Izi zimachitidwa chifukwa cha kutuluka kwa masamba a purulent ndi imfa yomaliza ya necrosis.
Zovala zimapangidwa mu polyclinic 2 pa tsiku. Pambuyo pa balali limayamba kulimbitsa, limachiritsidwa ndi antiseptic ndi emollients. Mafuta amathandiza kuthetsa minofu yambiri (Zeraderm, Kelofibraz). Komabe pamakomawa, zigawo za silicone zimagwiritsidwa ntchito kuti lifulumize machiritso. Pamene carbuncle ya munthu imawonekera panthawi yake, chithandizochi chingakhale chachilendo, popanda opaleshoni.
Carbuncle - mavuto
Ngati matenda monga carbuncle amapezeka, mankhwala ayenera kuchitidwa mwamsanga. Mtima wosayenerera kutupa nthawi zambiri umakhala ndi zotsatira zowawa. M'milandu yosanyalanyazidwa, munthu akhoza:
- mvetserani;
- kuthyola;
- kutentha kwake kumatuluka;
- pali kutayika kwa chidziwitso;
Ngati pali kuledzera kwa thupi, mafinya amalowa mafupa, zotengera ndi mitsempha ya thupi, komanso mu ubongo. Pazochitikazi, odwala akhoza kukhala ndi matenda omwe amachititsa kuti afe:
- kupuma kwa matenda ofewa;
- phlebitis;
- lymphadenitis;
- sepsis;
- osteomyelitis;
- meningitis ndi zina zotero.
Pamene panali carbuncle m'mphuno, mankhwala apakhomo amatha pokhapokha panthawi yoyamba. Pa ichi muyenera:
- Pangani zokolola kuchokera ku zitsamba zosakaniza;
- kumwa mankhwala amodzi;
- Pitirizani kutentha ndi mankhwala osokoneza bongo.